Jacksonville/Onslow County Johnathan C. Fulcher Crimestoppers Scholarship

Transcription

1 Jacksonville/Onslow County Johnathan C. Fulcher Crimestoppers Scholarship Application Form $1,000 onetime award completed application and resume to: Chris Andre (Ctrl Click) or mail to: Crimestoppers PO Box 436 Jacksonville, NC Selection Criteria: Deadline : Eligibility Requirements: Must submit: 1 official transcript 3 reference forms Completed application Completed essay Selection of Crimestoppers Scholarship is based on a number of factors, with special emphasis on each individual s character, community involvement, leadership abilities and merit. Merit is demonstrated in a variety of ways: leadership in school, civic and other extracurricular activities, academic achievement and motivation to serve and success in all endeavors. Finalists will be notified by the end of April. A student may apply for a Crimestoppers Scholarship Award if he/she is: Graduating Senior in an Onslow County or a DOD school in Onslow County. Residing in Onslow County. Must be planning on attending a 2 or 4 year college. Planning to pursue a major in Criminal Justice or related field. Students who have already received this scholarship are not eligible to receive it again. It is a one-time scholarship. Children of the Crimestoppers Board of Directors are not eligible. Student who have received a full scholarship are not eligible. It is intended that the scholarship be used within 1 year from receipt. Information/ Applicant Name:. Certification: Mailing Address:. Telephone Number:. College Course of Study:. Intended College Attending:. Important: Review this form and make certain you have responded accurately to all items: I certify that all the statements made in this application form are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. Signature. High School Name:. Counselor/Principal Name of Contact Person:. Phone Number: ( ).

2 Additional Information 1. Please list any extracurricular activities that you have been involved in during your high school career. List any offices held and the academic year that you were involved in each activity. (i.e. National Honor Society, FBLA, Sports, etc.) 2. Please list any job experiences you have had during your high school career and indicate the dates worked on the job. (Burger King, Food Lion, etc.)

3 Additional Volunteer/Community Service Activities

4 Why have you chosen to pursue a degree in Criminal Justice or related field? ( Words)

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6 Reference Form Applicant s Name: As it appears on your Last First Middle Social Security Card. I am an applicant for a Crimestoppers Scholarship and have given your name as a reference. Your prompt attention to the completion of this form will be greatly appreciated. This response is confidential. I hereby waive my right of access to this reference: Applicant s Signature How long have you known the applicant? ( ) Years ( ) Months What is your relationship to the applicant? Check each item below in the space provided. Qualities Below Above Outstanding Not Observed Comments Character Initiative/Resourcefulness Dependability Judgment Honesty Knowledge Loyalty Oral Communication Skills Written Communication Organizational Skills Interpersonal Skills Overall Additional Comments: Please return to the applicant with the signature of the person completing the reference written across the sealed flap of the envelope. Signature Name (Please Print) Address Phone Number

7 Reference Form Applicant s Name: As it appears on your Last First Middle Social Security Card. I am an applicant for a Crimestoppers Scholarship and have given your name as a reference. Your prompt attention to the completion of this form will be greatly appreciated. This response is confidential. I hereby waive my right of access to this reference: Applicant s Signature How long have you known the applicant? ( ) Years ( ) Months What is your relationship to the applicant? Check each item below in the space provided. Qualities Below Above Outstanding Not Observed Comments Character Initiative/Resourcefulness Dependability Judgment Honesty Knowledge Loyalty Oral Communication Skills Written Communication Organizational Skills Interpersonal Skills Overall Additional Comments: Please return to the applicant with the signature of the person completing the reference written across the sealed flap of the envelope. Signature Name (Please Print) Address Phone Number

8 Reference Form Applicant s Name: As it appears on your Last First Middle Social Security Card. I am an applicant for a Crimestoppers Scholarship and have given your name as a reference. Your prompt attention to the completion of this form will be greatly appreciated. This response is confidential. I hereby waive my right of access to this reference: Applicant s Signature How long have you known the applicant? ( ) Years ( ) Months What is your relationship to the applicant? Check each item below in the space provided. Qualities Below Above Outstanding Not Observed Comments Character Initiative/Resourcefulness Dependability Judgment Honesty Knowledge Loyalty Oral Communication Skills Written Communication Organizational Skills Interpersonal Skills Overall Additional Comments: Please return to the applicant with the signature of the person completing the reference written across the sealed flap of the envelope. Signature Name (Please Print) Address Phone Number